Facilitação neuromuscular proprioceptiva : tratamento isolado em comparação com a associação da estimulação eletrica neuromuscular em membro superior de pacientes hemipareticos pos-AVC / A comparison between proprioceptive neuromuscular facilitation alone, or in combination with upper limb neuromuscular electrical stimulation in post-stroke hemiparetic patients

AUTOR(ES)

Eliane Cristina Magdalon

DATA DE PUBLICAÇÃO

2004

RESUMO

Objectives: The aim of this study was to evaluate the efficacy of Neuromuscular Electrical stimulation (NMES) added to Proprioceptive Neuromuscular Facilitation (PNF) patterns in upper limbs of hemiparetic patients after stroke. Methods: Ten hemiparetic subjects were divided into two groups, both receiving PNF patterns. Group 2 received, in addition, NMES. Upper limb was evaluated pre-treatment (initial - I), post-treatment (final - F) and after 7 or 8 weeks after the end of the sessions (Iate - L). Motor function was assessed with the upper extremity motor subscore of the Fugl-Meyer Assessment (FMA), the Modified Barthel lndex (MBI), and Ashworth Scale for muscular tonus. Results: Non-parametric analyses revealed statistically significant gains in Fugl-Meyer Scores between I x F, I x L and F x L (p=O,O30) in group 1. Group 2 only showed statistically significant gains for I x F, for the other combinations p>O,O5. Ashworth Score presented significant differences only for fingers I x F in group 1 (p=O,OO3). For group 1, there were significant differences (p=O,OO3) in active and passive goniometry for shoulder flexion I x F and I x L, elbow flexion I x F and Initial x L, and there were also significant differences in passive wrist flexion F x L and passive wrist extension I x L. There were not statistically significant differences in MBI for both groups. Conclusion: The methodology was able to increase the motor score of upper extremity by Fugl-Meyer Score and increasing amplitude of the passive and active movement. Meanwhile, the addition of FES was not enough to change with statistical significance the data of the Fugl-Meyer Assessment, MBI and Ashworth Scale

ASSUNTO(S)

estimulação neural rehabilitation hemiplegicos stroke hemiplegia fisioterapia neuromuscular electrical stimulation proprioceptive neuromuscular facilitation acidentes vasculares cerebrais reabilitação

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